Almost Family Merger Preliminary Merger Consideration (Details) - USD ($) $ in Thousands	Apr. 01, 2018	Jun. 30, 2018	Dec. 31, 2017
Recognized amounts of identifiable assets acquired and liabilities assumed:
Preliminary goodwill		$ 1,118,777	$ 392,601
Almost Family
Preliminary merger consideration
Stock	$ 795,412
Recognized amounts of identifiable assets acquired and liabilities assumed:
Cash and cash equivalents	16,547
Patient accounts receivable	101,933
Prepaid income taxes	2,705
Prepaid expenses and other current assets	9,540
Property and equipment	11,144
Assets held for sale	2,850
Accounts payable	(38,202)
Accrued other liabilities	(59,041)
Deferred income taxes	(4,842)
Seller notes payable	(12,461)
NCI- Redeemable	(2,256)
Long term income taxes payable	(3,786)
Line of credit	(106,800)
NCI- Nonredeemable	(34,990)
Other assets and (liabilities), net	252
Total identifiable assets and liabilities	73,989
Preliminary goodwill	721,423
Trade name | Almost Family
Recognized amounts of identifiable assets acquired and liabilities assumed:
Indefinite-lived intangible assets	116,679
Certificates of need/licenses | Almost Family
Recognized amounts of identifiable assets acquired and liabilities assumed:
Indefinite-lived intangible assets	58,861
Other identifiable intangible assets | Almost Family
Recognized amounts of identifiable assets acquired and liabilities assumed:
Indefinite-lived intangible assets	$ 15,856